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and are available from the LGU upon request. <br /> Name Title <br /> Rachel Workin Permitting Technician <br /> z <br /> Signatu e Date Phone Number and E-mail <br /> ��, 12/14/2016 (952)641-4518 <br /> rworkin@minnehahacreek.org <br /> THIS DECISION ONLY APPLIES TO THE MINNESOTA WETLAND CONSERVATION ACT. <br /> Additional approvals or permits from local, state, and federal agencies may be required. Check with all <br /> appropriate authorities before commencing work in or near wetlands. <br /> Applicants proceed at their own risk if work authorized by this decision is started before the time period <br /> for appeal (30 days)has expired. If this decision is reversed or revised under appeal,the applicant may be <br /> responsible for restoring or replacing all wetland impacts. <br /> This decision is valid for three years from the date of decision unless a longer period is advised by the TEP <br /> and specified in this notice of decision. <br /> 3. APPEAL OF THIS DECISION <br /> Pursuant to MN Rule 8420.0905,any appeal of this decision can only be commenced by mailing a petition <br /> for appeal,including applicable fee,within thirty(30)calendar days of the date of the mailing of this Notice <br /> to the following as indicated: <br /> Check one: <br /> ® Appeal of an LGU staff decision. Send ❑ Appeal of LGU governing body decision. <br /> petition and$0 fee(if applicable)to: Send petition and$500 filing fee to: <br /> Minnehaha Creek Watershed District Executive Director <br /> 15320 Minnetonka Blvd Minnesota Board of Water and Soil Resources <br /> Minnetonka,MN 55345 520 Lafayette Road North <br /> St. Paul, MN 55155 <br /> 4. LIST OF ADDRESSEES <br /> ® SWCD TEP member: Tony Brough <br /> ® BWSR TEP member: Ben Meyer <br /> ❑ LGU TEP member(if different than LGU Contact): <br /> ® DNR TEP Becky Horton; Kate Drewry <br /> ❑ DNR Regional Office(if different than DNR TEP member): <br /> ❑ WD or WMO(if applicable): <br /> ® Applicant(notice only)and Landowner(if different): Anita Lancello Bydlon(YMCA) <br /> ® Members of the public who requested notice(notice only): Todd Ullom (Sambatek); Jessica <br /> Abernathy(Sambatek); Heidi Quinn(MCWD);Wes Boll(Wenck Associates); Chris Mattson <br /> (City of Orono); Melanie Curtis(City of Orono); Mike Gaffron(City of Orono) <br /> ® Corps of Engineers Project Manager(notice only): Melissa Jenny— <br /> melissa.m.jenny@usace.army.mil <br /> ❑ BWSR Wetland Bank Coordinator(wetland bank plan applications only) <br /> 5. MAILING INFORMATION <br /> For a list of BWSR TEP representatives: www.bwsr.state.mn.us/aboutbwsr/workareas/WCA areas.pdf <br /> BWSR Forms 7-1-10 Page 3 <br /> of 3 <br />